Organization
VALLEY PHARMACY
Active
Other names
Valley Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMGAD GADALLA (OFFICE MANAGER)
(623) 505-6500
Entity
Organization
Contact information
Practice address
2960 N LITCHFIELD RD STE 120, GOODYEAR, AZ 85395-7822
(623) 505-6500
(623) 505-6505
Mailing address
7744 PORT ARTHUR DR, CORONA, CA 92880-3537
(909) 327-8467
(623) 505-6505
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005172
AZ
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0356243
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/27/2009
Last updated
06/21/2011
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